Meyer R.: gastrointestinal manifestations of food allergy

Dr Rosan Meyer, reared and educated in South Africa and for some years active in London as a paediatric dietitian, is the guest of ESPGHAN today.  Her particular interest lies in the Protean gastrointestinal manifestations of food allergy and how to intervene to reduce or to eliminate them.  Today she asks us to consider :     -- Are feeding difficulties adequately recognised and treated in children with food allergy ?   -- What is the context of the immune-supportive diet in addressing food allergy ? -- What advances have been made around food allergy and tolerance induction ?   She offers us four articles to assist us in coming to grips with these issues.  A difficult field, and, one hopes, an interesting discussion.   Literature Vlieg-Boerstra B et al.  The immune-supportive diet in allergy management :  A narrative review and proposal.  Allergy 2023 Jun 78(6):1441-1458.  DOI :  10.1111/all.15687.  Epub 2023 Apr 4.  PMID:  36802268 Meyer R et al.  World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow’s Milk Allergy (DRACMA) Guideline update – VII – Milk elimination and reintroduction in the diagnostic process of cow’s milk allergy.  World Allergy Organ J 2023 Jul 2416(7):100785.  DOI :  10.1016/j.waojou.2023.100785.  PMID :  37546235.  PMCID :  PMC10401347 Meyer R et al.  Diagnosis and management of food allergy-induced constipation in young children — an EAACI position paper.  Pediatr Allergy Immunol 2024 Jun35(6):e14163.  DOI :  10.1111/pai.14163. PMID :  38825829  Chebar-Lozinsky A et al.  Assessing feeding difficulties in children presenting with non-IgE-mediated gastrointestinal food allergies—a commonly reported problem.  Nutrients 2024 May 2216(11):1563.  PMID :  38892497.  PMCID :  PMC11173616.    DOI :  10.3390/nu16111563